Permit CITY OF TIGARD BUILDING PERMIT
d ' COMMUNITY DEVELOPMENT Permit #: BUP2010 00283
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 102
Project: Plaza Home Mortgage Subdivision: Lot: 0
Project Description: TI
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC &
21360 NW AMBERWOOD DR HUNZIKER LLC
HILLSBORO, OR 97124 -9321 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 645 -8531 PHONE:
FAX: 503 - 645 -5397
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/28/2010 $377.90
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/28/2010 $45.35
Stories: 3 Height: 0 ft Plan Review 12/28/2010 $245.64
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/28/2010 $151.16
Value: $19,400
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $820.05
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
b- : • e in accordan.- with approved plans. This permit will expire if work is not started within 180 days of issuanc- or if work is suspended for more the 180
days. ATTENTION: Oreg• law requires you to follow the rules adopted by the Oregon Utility Notification ∎ Those rules are set forth in OAR
952- 001 -0010 through OAR 9 2 -• • • •91. You may obtain a copy of the rules or direct questions to OUNC by calling 5 • .2 2.1• 00.332.2344.
r�P
Issued By: V
` _ t /. _ Permittee Signature: • tit
Call 503.639.4175 by 7:00 a.m. for the next available Insp: ction date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Commercial RECEIVED EoR officE ush;
City of Tigard
13125 SW Hall Blvd., Tigard,
Permit No.: a /0 ;
. • ard, OR 97223 0 1 Plan R : /.2 .2� / 0
C g L C 2 8 2010 Plan Review ► . 7-1 Other Permit:
Phone: 503.639.4171 Fax: 503.598.19 Date /B : � ` w
TI G A R D Inspection Line: 503.639.4175 Date Rea .37 Lurie: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified /Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7320 SW Hunziker Rd New dwelling area: square feet
City /State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 102 Project name: Plaza Home Mortgage TI Covered porch area: square feet
Cross street/directions to job site: SW Hunziker Rd & SW 72 Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 100 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S101DB Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement expansion and remodel of office space. Valuation: $$19,400.00
Existing building area: 47320 square feet
New building area: 0 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 3
Name: Robinson Family Trust Type of construction: IIl -B
Address: 21360 NW Amberwood Dr Occupancy groups:
City /State/ZIP: Hillsboro, OR 97214 Existing: B/M
Phone: (503)645.8531 Fax: (503)645.5357 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CIDA, Inc All contractors and subcontractors are required to be
Contact name: Kourtney Strong licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15895 SW 72" Ave Suite 200 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 226.1285 Fax: : (503) 226.1670
E -mail: kourtneys @cidainc.com
CONTRACTOR
Business name: Robinson Construction Co. BUILDING PERMIT FEES*
Address: 21360 N W Amberwood Dr (Please refer to fee schedule)
City /State/ZIP: Hillsboro, OR 97214 Structural plan review fee (or deposit):
Phone: (503) 645.8531 Fax: (503) 6455357 FLS plan review fee (if applicable):
CCB lie.: 63147 Total fees due upon application:
Amount received:
Authorized signature: This perm app expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kourtney Strong Date: 12.17.2010 * Fee methodology set by Tri- County Building Industry
■' Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(t I /02/COM/WEB)
e . Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Description of Project: (
•
GENERAL INFORMATION
Class of Work:* 1(---7 Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* (Rik First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: oVa Total sq ft.: N: S:
Stories: Note: Combine total floor area for E: E:
Height: _ all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
T
Fire sprinkler: • 6, Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Lee" Parking spaces ( #):
Notes:
Total Valuation: $ I 'J .nf,� •
• INSPECTIONS FEES DUE
Footing /foundation Firewall $ ,go Permit Fee
Post /beam structural Smoke detector $ State Surcharge
Shear wall Misc. inspection $ , Plan Review Fee
Masonry Approach /sidewalk $ 1 1 II(, FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 820 .05 Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08